| NPI | 1972894632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA DIAZ Massage Therapist 305-222-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME90883) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9100070) |
| 225100000X Physical Therapist (Licence: FL PT1857) | |
| 225700000X Massage Therapist (Licence: FL MA37303) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2013-04-08 |